WILLIAM ELSWORTH GROSS (MD) – Otolaryngology Physician, NPI 1114916756

WILLIAM ELSWORTH GROSS (MD) is a healthcare provider. based in Fort walton beach, Florida. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. ME123489 (FL). The NPI Number for WILLIAM ELSWORTH GROSS (MD) is 1114916756

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM ELSWORTH GROSS (MD)
NPI
1114916756
Phone
(850) 863-8275
Address
1005 MAR WALT DRIVE
Enumeration Date
17 October 2005
Last Update Date
3 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
8504759025
Graduation Year
1987 (39 years ago)
PAC ID
4284823386
Group Practice PAC ID
3779491386
Professional Enrollment ID
I20151203001554
Address ID
FL325048771PE5147XAVEX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

732 OTOLARYNGOLOGY in FL

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Provider Addresses for WILLIAM ELSWORTH GROSS (MD)

  • 1005, Mar Walt Drive, Wright, Fort Walton Beach, Okaloosa County, Florida, 32547, United States

    ADMIN

    FORT WALTON BEACH, FL 325476796

    Phone: (850) 863-8275

    Fax: (850) 314-6833

    Type: Mailing

  • 4205 BELFORT RD STE 4015

    JACKSONVILLE, FL 322163623

    Phone: (904) 450-6063

    Fax: (904) 539-4091

    Type: Mailing

  • 5147 N 9TH AVE

    PENSACOLA, FL 325048771

    Phone: (850) 475-9025

    Fax: (850) 494-7855

    Type: Location

  • 1110 HOSPITAL ROAD

    OTOLARYNGOLOGY DEPARTMENT

    FORT WALTON BEACH, FL 325476796

    Phone: (850) 863-8275

    Fax: (850) 314-6833

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $400.

Total Amount is formed as General ($400) + Research ($0) + Ownership ($0) = $400.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($107).

Total Amount

$400

General + Research + Ownership

Payments

10

Total payment records

General Amount

$400

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-12-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151203001554IOtolaryngologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes214139$0
99214Established patient office or other outpatient visit, 30-39 minutes11893$0
99204New patient office or other outpatient visit, 45-59 minutes8484$0
31575Diagnostic exam of voice box using a flexible endoscope7965$0
99203New patient office or other outpatient visit, 30-44 minutes7373$0
View full utilization report →

Insurance plans in this area (ZIP 32547)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779491386View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm WILLIAM ELSWORTH GROSS (MD)'s NPI?
Yes. WILLIAM ELSWORTH GROSS (MD) is listed with NPI 1114916756 in the public NPI dataset.
Does the file indicate WILLIAM ELSWORTH GROSS (MD) is practicing under active NPI?
Directory data currently reports WILLIAM ELSWORTH GROSS (MD) as active.
What is WILLIAM ELSWORTH GROSS (MD)'s primary classification?
Otolaryngology Physician is the headline specialty for WILLIAM ELSWORTH GROSS (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for WILLIAM ELSWORTH GROSS (MD)?
WILLIAM ELSWORTH GROSS (MD)'s geographic hint is Fort Walton Beach, Florida in our summary view.
Is the information about WILLIAM ELSWORTH GROSS (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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